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Gennadiy Ivanov, MD
Obstetrics & Gynecology Physician in Feasterville Trevose, Pennsylvania
NPI 1861720815

Gennadiy Ivanov is a Obstetrics & Gynecology Physician based in Feasterville Trevose, PA. Gennadiy Ivanov practices in Feasterville Trevose, PA and has the professional credentials of MD. The NPI Number for Gennadiy Ivanov is 1861720815 and holds a License No. MD454021 (Pennsylvania).

The current practice location address for Gennadiy Ivanov is 520 Bustleton Pike, Feasterville Trevose, PA and can be reached out via phone at 215-631-3873 and via fax at 215-631-3899.

Location: 520 Bustleton Pike, Feasterville Trevose, PA, 19053-6052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861720815
Provider Name
Gennadiy Ivanov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
520 Bustleton Pike, Feasterville Trevose, PA, 19053-6052
Phone Number
215-631-3873
Fax Number
215-631-3899
Provider Enumeration Date
12/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
464979 01 PA MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
520 Bustleton Pike
City
Feasterville Trevose
State
Pennsylvania
Zip
19053
Phone Number
215-631-3873
Fax Number
215-631-3899
person
Provider Business Mailing Address Details
Address
520 Bustleton Pike
City
Feasterville Trevose
State
Pennsylvania
Zip
19053
Phone Number
215-631-3873
Fax Number
215-631-3899
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
MD454021 (Pennsylvania)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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